经皮椎体后凸成形术治疗老年压缩性骨折效果分析.docVIP

经皮椎体后凸成形术治疗老年压缩性骨折效果分析 　　[摘要] 目的 探讨经皮椎体后凸成形术（PKP）治疗老年椎体压缩性骨折的临床效果。 结论 两种术式均能有效缓解骨质疏松性椎体压缩性骨折患者的疼痛，改善生活质量，同时PKP能更好地恢复伤椎高度，减少骨水泥渗漏的发生率。 　　[关键词] 经皮椎体后凸成形术；经皮椎体成形术；压缩性骨折；骨质疏松 　　[中图分类号] R683.2 [文献标识码] A [文章编号] 1673-7210（2014）04（b）-0064-04 　　[Abstract] Objective To discuss the clinical effects of the percutaneous kyphoplasty （PKP） in the treatment of senile vertebral compression fractures. Methods 31 cases of senile vertebral compression fracture patients in Chongqing Three Gorges Central Hospital from March 2010 to February 2013 were selected， 16 cases of senile vertebral compression fractures with 20 vertebral bodies from March 2011 to February 2013 were chosen as research group， 15 cases from March 2010 to February 2011 were chosen as control group. The research group was treated with PKP， the control group was treated with pereutaneous vertebroplasty. The pain VAS score， spinal anterior column height， bone cement leakage before the operation， after the operation and 3 months of the following-up between the two groups were analyzed and compared. Results ①The pain in the two groups were alleviated， the pain VAS score in the two groups after the operation and during the following-up were all lower than those before the operation， the differences were statistically significant Conclusion The two methods can effectively relieve the pain of fractures in patients with osteoporotic vertebral compression， it can improve the quality of life， at the same time， PKP can recover the height of vertebral injury better， reduce the incidence of bone cement leakage. 　　[Key words] Percutaneous kyphoplasty； Percutaneous vertebroplasty； Compression fractures； Osteoporosis 　　老年骨质疏松导致椎体压缩性骨折是目前常见的脊柱疾病，严重影响老年人的生活质量。椎体压缩骨折后降低了伤椎节段的前中柱抗压强度，增加了后柱的压应力负荷，导致脊柱运动单元的强度和稳定性显著下降[1]。经皮椎体后凸成形术（percutaneous kyphoplasty，PKP）的生物力学研究证实压缩骨折的椎体经后凸成形后其伤椎节段的运动稳定性较成形前显著提高，可防止椎体的进一步塌陷和变形，缓解患者疼痛[2-4]。该术式目前已成为治疗老年骨质疏松性椎体压缩骨折的新途径，本研究采用PKP技术共治疗老年骨质疏松导致的椎体压缩骨折，效果满意，与之前运用的经皮椎体成形术（pereutaneous vertebroplasty，PVP）相